Radiology, Diagnostic Radiology
BRIAN GRANVALL PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1205809852 · enumerated 2006-02-13 · record updated 2022-01-31. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 1108, CORVALLIS, OR, 97339-1108 (208) 381-2094 Fax (208) 381-1791 Google Maps Apple Maps OpenStreetMap
- Practice location 190 E BANNOCK ST, BOISE, ID, 83712-6241 (208) 381-2094 Fax (208) 381-1791 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 0110002940 VA
- Physician Assistant 363A00000X · License PA10004399 WA
- Physician Assistant 363A00000X · License PA 00846 OR
- Physician Assistant, Surgical 363AS0400X · License C04233 MD
- Radiology, Diagnostic Radiology 2085R0202X · Primary · License PA-1042 ID
In this directory
Locations and evidence
-
Practice location
BOISE, ID, 837126241
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.